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Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid scams in Mesa, Arizona

Medicare and Medicaid fraud cost Arizona taxpayers billions of dollars every year. While most medical providers and drug companies are honest and work within the system, some do not. When fraud happens, everyone loses. Medicare and Medicaid whistleblower attorneys assist healthcare professionals to submit lawsuits on behalf of the federal or state government to report this type of fraud.

The state and federal government put a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government depends on regular folks in Arizona to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Mesa, Arizona

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and fraud in the industry. understand that coming forward is hard and lots of things may be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently and carefully prepare your case, and work relentlessly with both you and the state of federal government to assist in bringing deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Mesa, Arizona

While Arizona does not have a state False Claims Act, an individual who has knowledge of Medicaid fraud in the state of Arizona may pursue a whistleblower claim under the federal False Claims Act. The Act empowers private citizens to come forward with a civil claim on behalf of the government to hold those who perpetrate scams responsible.


The government counts on private citizens and employees to come forward when they are aware of deceptive Medicaid activity. The federal False Claims Act allows a staff member or individual to bring forth a qui tam suit on behalf of the government and enables them to get a reward for their efforts.


Under the federal Act, a private individual or employee who brings a whistleblower claim on behalf of the government may be entitled to a financial reward of in between 15 percent and 25 percent of the financial recovery in the lawsuit. If the government chooses not to step in, the whistleblower might receive a reward of between 25 and 30 percent of the funds recovered.


In addition to a reward, employees in Arizona are safeguarded from retaliation, discharge, or discrimination by an employer because of a whistleblower lawsuit.

Liability of the Defendant in Mesa, Arizona

In a whistleblower suit under the False Claims Act, the offender may be liable for up to triple the harm to the federal government as well as additional charges of $5,500 to $11,000 per infraction.

Statute of Limitations in Arizona

Under the federal False Claims Act, a whistleblower must file a complaint within 10 years of the infraction.

Working With an Experienced Whistleblower Attorney

Healthcare workers who have proof or relevant information concerning deceitful Medicaid activity in Mesa, Arizona should understand their rights and what to expect if they are considering a whistleblower lawsuit. Getting experienced legal guidance from a whistleblower attorney is vital. At Khurana Law Firm, P.C., we can assist you in understanding the complaint process as well as your rights and options under the False Claims Act. Contact us for a completely confidential, no-cost consultation to discuss your case.

What is

Medicare Advantage Fraud

Medicare Advantage (MA) plans are privately run healthcare options offering Medicare-eligible individuals additional services that are not included in traditional Medicare. These organizations receive payment from Medicare for each of their members that vary according to their risk adjustment. Some Medicare Advantage organizations overestimate and exaggerate a member’s risk or a patient’s diagnoses to get higher payments from Medicare. They do this by:


The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Chart reviews

The MA provider reviews charts to add additional diagnosis codes.

Chart mining

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Adding unsupported diagnosis

Coders are directed to add codes based on other information in the chart.

Not removing old diagnosis codes

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Sham RADV audits

The MA provider reviews charts to add additional diagnosis codes.

Incentivizing doctors

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Pre-filling charts

Coders are directed to add codes based on other information in the chart.

If you suspect Medicare Advantage Fraud, you are a healthcare worker in Mesa, Arizona, get in touch with us here.

Khurana Law Firm, P.C.
Medicare Fraud
Medicare Fraud is a Serious Problem

While there are no exact figures concerning Medicare fraud, we do know it is a huge problem. In the fiscal year 2020, the government recovered over $1.8 billion in civil and fraud claims relating to the healthcare industry. 

$ 0
Recovered only in 2020
YOU, the healthcare worker, provide the most vital role in combating Medicare abuse and fraud.

Watching for fraud and abuse within your organization, practice, or provider’s office helps protect everyone from this taxpayer drain and holds abusers accountable.

So what is Medicare Fraud?

Fraud, as it relates to Medicare, is when individuals or entities make false statements or representations to benefit themselves at the expense of the Medicare program. 

Who defrauds Medicare?

Medicare fraud can involve numerous individuals, organizations, and entities, including physicians and nurses, physician-owned groups, drug companies, home health providers, medical device providers, nursing homes, and others.

How do people and companies commit Medicare fraud?

Fraud and abuse come in many different forms from coding abuses, to kickbacks, to altering records, to organized crime infiltration. Each method benefits the abuser while costing taxpayers billions. 

What laws protect Medicare from fraudulent activity?

The False Claims Act, Anti-kickback Statute, Stark Law, and Federal Criminal Healthcare Fraud Statute hold abusers accountable for their fraudulent activity. 

What government agencies protect against Medicare fraud?

Many government agencies strive to protect and promote the integrity of Medicare. These include the Centers for Medicare and Medicaid Services, Center for Program Integrity, US Department of Health and Human Services, and US Department of Justice, all attempting to keep Medicare fraud at bay. But they rely on people like YOU to be their eyes and ears.

How can I help?

If you see abuse and fraudulent activity you should report it. In some cases, you may even be entitled to a reward. If you are a healthcare worker in Mesa, Arizona,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Mesa, Arizona

If you’ve become aware of potential fraud that may involve Medicaid or Medicare in Mesa, Arizona, you may need the advice of an experienced whistleblower lawyer, someone who can make sure that your claim is totally examined and submitted accurately and promptly. By dealing with a skilled attorney you are increasing the chance that the federal or state government will step in, hence increasing the opportunity for a financial reward. Reporting Medicaid and Medicare fraud is an intricate matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam lawyers to help in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we can represent you in a qui tam suit to report the fraud and enable you to gather a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a settlement. Get in touch with us today to learn how we can help.

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